CLINICAL PROFILE AND PROGNOSTIC FACTORS OF ACUTE KIDNEY INJURY FOLLOWING SNAKE BITE

Shailaja V. Rao; Sanjay B. Raut

Volume : VI, Issue : IX, September - 2016

CLINICAL PROFILE AND PROGNOSTIC FACTORS OF ACUTE KIDNEY INJURY FOLLOWING SNAKE BITE

Shailaja V. Rao, Sanjay B. Raut

Abstract :

INRODUCTION: Acute kidney injury (AKI) is an important cause of morbidity and mortality in snake bite patients, especially in tropical countries. This study was under taken to evaluate the clinical profile and prognostic factors of AKI in snake bite patients. METHODS: this was a cross sectional hospital based study conducted at a tertiary care hospital. 100 consecutive patients of snake bite induced AKI were included. All patients received standard treatment including antisnake venom and hemodialysis. The pearson chi–square test was used to analyse parametric variables. RESULTS: prevalence of AKI in snake bite was 11.02%. Common clinical manifestations were local cellulitis(100%), oliguria(81%), hematuria(70%), and bleeding tendencies(29%). Common laboratory findings were leucocytosis(60%), coagulopathy(34%) and thrombocytopenia ( 29%) CONCLUSION: snake bite induced AKI has 18% mortality. Presence of coagulopathy, uremic encephalopathy and septicemia were found to be poor prognostic factors. Average bite to needle time was found to be lesser in patients who recovered.